Most (all?) people on daily dialysis, whether the short version or the nocturnal version take a day off from dialysis during the week. There is no medical basis for this. Kidneys don't take a day off so theoretically there shouldn't be a day off for dialysis too!
For some reason, however, we all take a day off.
When I started doing daily dialysis, I took Sundays off because well, everyone else on the internet I knew was doing the same! When I did not dialyze on Sundays, I slept better. I've never had serious problems sleeping on dialysis but the sleep on Sundays, not hooked to the dialysis machine were really 'sound', if you know what I mean. For example, I would go into deep dreams only on Sunday nights.
Over the last two and a half years of being on nocturnal, I have mixed feelings about taking Sundays off. On the one hand, I feel a little relieved that I don't have to suffer the needles and the associated pain (yes, I use buttonholes - two pairs, if you will and no, it is NOT painless). On the other hand, I don't like the feeling of having extra fluid on me. There is a little discomfort in my chest by mid-day Monday.
One reason for this fluid build up is that I have a holiday at work on Sundays and due to this I have more spare time. So, I end up drinking more fluid. When I'm at work during the week, on the other hand, I am so absorbed in my work that I don't drink that much.
Also, on Sundays, I usually go for a movie followed by dinner out with my family or friends and tend to go overboard at times drinking a cola or some mocktail.
I've been thinking lately of changing my day off to a weekday and dialyze on Sundays. This will remove both the factors that contribute to my fluid weight gain and the subsequent discomfort. I will be at work and hence drink less and I will also not usually go out to eat and will again, well, drink less.
One advantage of learning the ropes of starting treatments is that I can start on Sundays without worrying about whether my tech will agree to come on Sundays. I can start off myself, get him to come on Monday morning to close and give him a weekday off.
Should work out, I think. Let's see how fast I can put this plan into action.